Jordan, Gary M

Jordan, Gary M is an individual health care provider with primary practice located at 294 Middle Country Rd , Coram NY 11727-4428. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jordan, Gary M can be contacted via phone (631) 736-5168.

Contact Information

Primary practice address
294 Middle Country Rd Coram NY 11727-4428
Phone: (631) 736-5168
Fax: (631) 736-5733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 030503-1 New York

Profile Details

NPI number 1477731255
LBN Legal business name Jordan, Gary M
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2008
Last updated Jan 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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